水中运动治疗对脑性瘫痪儿童青少年运动功能和活动效果的系统评价与Meta分析

doi:10.3969/j.issn.1006-9771.2021.01.012

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (1): 79-92.doi: 10.3969/j.issn.1006-9771.2021.01.012

水中运动治疗对脑性瘫痪儿童青少年运动功能和活动效果的系统评价与Meta分析

崔尧^1,2, 萧敦武^1,2, 丁琳³, 邱服冰^4,5, 丛芳^1,2, 邱卓英^5,6,7

1.首都医科大学康复医学院，北京市 100068
2.中国康复研究中心北京博爱医院，北京市 100068
3.山西白求恩医院，山西太原市 030032
4.深圳大学体育部，广东深圳市 518060
5.中国ICF研究院，山东潍坊市 261000
6.中国康复科学所康复信息研究所，北京市 100068
7.世界卫生组织国际分类家族中国合作中心，北京市 100068

收稿日期:2020-10-10 修回日期:2020-12-29 出版日期:2021-01-25 发布日期:2021-01-27
通讯作者: 丛芳，E-mail： cong_fang_crrc@sina.com
作者简介:崔尧(1988-)，男，汉族，陕西西安市人，硕士，主管治疗师，主要研究方向：康复治疗学；丛芳(1966-)，女，汉族，辽宁大连市人，博士，主任医师、副教授，主要研究方向：康复医学与理疗学；邱卓英(1962-)，男，汉族，湖北武汉市人，博士，研究员、教授，博士生导师，主要研究方向：WHO-FICs、ICF、康复心理学、残疾研究、康复科学、康复信息。
基金资助:
中国康复研究中心科研项目(No. 2019-ZX06)

Effects of Aquatic Therapeutic Exercise on Motor Function and Activities for Children and Youth with Cerebral Palsy: A Systematic Review and Meta-Analysis

CUI Yao^1,2, XIAO Dun-wu^1,2, DING Lin³, QIU Fu-bing^4,5, CONG Fang^1,2, QIU Zhuo-ying^5,6,7

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
2. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
3. Shanxi Bethune Hospital, Taiyuan, Shanxi 030032, China
4. Shenzhen University Department of Physical Education, Shenzhen, Guangdong 518060, China
5. China Academy of ICF, Weifang, Shandong 261000, China
6. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China
7. WHO-FIC Collaborating Center in China, Beijing 100068, China

Received:2020-10-10 Revised:2020-12-29 Published:2021-01-25 Online:2021-01-27
Contact: CONG Fang, E-mail: cong_fang_crrc@sina.com
Supported by:
China Rehabilitation Research Center Project (No. 2019-ZX06)

摘要/Abstract

摘要： 目的运用世界卫生组织国际健康分类家族的理论架构和方法，系统评价水中运动治疗对脑瘫儿童青少年运动功能及生活质量的干预效果。方法检索Cochrane Library、PEDro、PubMed、Embase、Web of Knowledge、Web of Science、OVID、EBSCO、中国生物医学期刊引文数据库、中国知网期刊全文数据库、万方数据知识服务平台、维普中文期刊全文数据库建库至2020年5月，筛选水中运动治疗应用于脑瘫儿童青少年的随机对照试验，进行方法学质量评价，提取相关数据，采用RevMan 5.3软件进行Meta分析。结果最终纳入9项研究，共162例。水中运动治疗能显著改善脑瘫儿童青少年的粗大运动功能测试量表评分(WMD = 6.31, 95%CI 2.57~10.06，P < 0.001)，对日常生活活动和生活质量也有改善作用。结论水中运动治疗有助于改善脑瘫儿童青少年的运动功能和活动，并可能改善其生活质量。

关键词: 脑性瘫痪, 水中运动治疗, 运动功能, 活动, 生活质量, Meta分析

Abstract: Objective To evaluate the intervention effects of aquatic therapeutic exercise on functioning and quality of life for children and youth with cerebral palsy within framework of World Health Organization Family International Classifications using systematic review. Methods Literatures were retrieved and reviewed from the databases of Cochrane Library, PEDro, PubMed, EMBASE, Web of Knowledge, Web of Science, OVID, EBSCO, CMCI, CNKI, Wangfang and VIP until May, 2020. The randomized controlled trials (RCTs) about aquatic therapeutic exercise for children and youth with cerebral palsy for functioning were systematically reviewed. The data were analyzed with RevMan 5.3. Results Nine RCTs were selected, including 162 children and youth. The score of Gross Motor Function Measure improved significantly after aquatic exercise (WMD = 6.31, 95 %CI 2.57 to 10.06, P < 0.001), as well as daily activities and quality of life. Conclusion Aquatic therapeutic exercise can help improve the gross motor function of children and youth with cerebral palsy, and has positive effects on function of activity and quality of life.

Key words: cerebral palsy, aquatic therapeutic exercise, motor function, activities, quality of life, meta-analysis

中图分类号:

R742.3

崔尧, 萧敦武, 丁琳, 邱服冰, 丛芳, 邱卓英. 水中运动治疗对脑性瘫痪儿童青少年运动功能和活动效果的系统评价与Meta分析[J]. 《中国康复理论与实践》, 2021, 27(1): 79-92.

CUI Yao, XIAO Dun-wu, DING Lin, QIU Fu-bing, CONG Fang, QIU Zhuo-ying. Effects of Aquatic Therapeutic Exercise on Motor Function and Activities for Children and Youth with Cerebral Palsy: A Systematic Review and Meta-Analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(1): 79-92.

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水中运动治疗对脑性瘫痪儿童青少年运动功能和活动效果的系统评价与Meta分析

Effects of Aquatic Therapeutic Exercise on Motor Function and Activities for Children and Youth with Cerebral Palsy: A Systematic Review and Meta-Analysis

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